Zestz for LAUGHS? 4-Hour Erection

What happens when you ask for help with an erection lasting more than 4 hours?

Beng walked into a drug store in Klang and asked to talk to a male pharmacist. The woman he was talking to said that she was the only pharmacist and as she and her sister owned the store, there were no male employees. She then asked if she could help him.

Beng said that it was something that he would be much more comfortable discussing with a male pharmacist. The lady pharmacist assured him that she was completely professional and whatever it was that he needed to discuss, he could be confident that she would treat him with a high level of professionalism.

Beng then agreed and began by saying, 'This is tough for me to discuss, but I get erections every day that last more than four hours. It causes me a lot of problems and severe embarrassment, and I was wondering what you could give me for it.'

The pharmacist said, 'Just a minute, I'll talk to my sister...'

When she returned, she said, "We discussed it at length and this is the absolute best we can do. 1/3 ownership in the store, a company Benz, a king size bed and $3,000 a month in living expenses

Story adapted from a recently netted flotsam.

Certainly, our Poh Ching, Mahfuza, Fooi Mee, Jacqueline don’t look anywhere like these old birds.

We post the hypothetical question to them and got this answer:

'Persistent, painful, erection that lasts for more than four hours and occurs without sexual stimulation is called priapism. This happens when blood in the you-know-what becomes trapped and unable to drain. It can occur in all age groups, including newborns. However, it usually affects men between the ages of 5 to 10 years and 20 to 50 years.'

'Painful spontaneous and nocturnal erections are a common complaint of patients after penile and urethral reconstructive surgery.'

They added that old-cocks (actually, they said adults) considering elective circumcision or other surgeries involving their you-know-what can talk to their doctors about the oral antifungal ketoconazole (Fungazol, Nizoral).

Here’s the basis for their potent advice:

Evans, Peterson, Ruiz, and Costabile working on patients at the US Army Medical Center, Tacoma, Washington found that ketoconazole effectively prevents painful postoperative erections with minimal side effects.

Oral ketoconazole works by inhibiting testosterone production…. reversibly (grateful thanks to you-know-who)

The 38 patients had undergone penile and urethral reconstructive surgery.

Analgesics and topical agents ineffectively inhibit painful erections after penile and urethral surgery. Ice-cold refrigerant sprays (eeeee!), narcotics, and dorsal nerve blocks, to prevent painful postoperative erections frequently provide incomplete relief, and their effects are short lived.

31 patients received 400 mg of ketoconazole three times daily for 10-14 days postoperatively (the study group) and 7 patients did not receive ketoconazole (the control group).

Of the control group, 71% reported erections in the immediate postoperative period, and all these patients reported the erections were painful. Only 23% of the patient taking ketoconazole reported postoperative erections, and only 16% reported the erections were painful.

Journal reference:

Evans KC, Peterson AC, Ruiz HE, Costabile RA. Use of oral ketoconazole to prevent postoperative erections following penile surgery. Int J Impot Res. 2004 Aug;16(4):346-9.

Your doctor may be interested to read the full text of this paper HERE.